Silver Spring

Inspection findings

1. Jan 30, 2026 Fire Safety · 8 findings
   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Feb 27, 2026 · CMS fire safety

   • Not serious Scope/severity D Complaint

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected Jan 31, 2026 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jan 31, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Feb 27, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 27, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Apr 24, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Feb 27, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0916 Gas, Vacuum, and Electrical Systems Deficiencies

     Have a battery powered remote alarm panel in a location accessible by operating personnel.

     Corrected Feb 27, 2026 · CMS fire safety

2. Jun 25, 2025 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Jun 26, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Jun 26, 2025 · CMS health inspection

3. Nov 7, 2024 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0638 Resident Assessment and Care Planning Deficiencies

     Assure that each resident’s assessment is updated at least once every 3 months.

     Corrected Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Nov 8, 2024 · CMS fire safety

4. Aug 22, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Sep 11, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Sep 11, 2024 · CMS health inspection

5. Jan 27, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Feb 18, 2024 · CMS health inspection

6. Oct 5, 2023 Fire Safety · 15 findings
   • Not serious Scope/severity F

     E0015 Emergency Preparedness Deficiencies

     Address subsistence needs for staff and patients.

     Corrected Oct 9, 2023 · CMS fire safety

   • Not serious Scope/severity D Complaint

     F0561 Resident Rights Deficiencies

     Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0661 Resident Assessment and Care Planning Deficiencies

     Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Oct 9, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Oct 9, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Oct 9, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Oct 9, 2023 · CMS fire safety

7. Aug 7, 2023 Health · 7 findings
   • Serious Scope/severity K Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Aug 8, 2023 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Aug 8, 2023 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Aug 8, 2023 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Aug 8, 2023 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Aug 8, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Aug 8, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Aug 8, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BALSAMO, KRYSTAL — adp of the snf, NOT APPLICABLE, since 09/29/2021
• BALSAMO, KRYSTAL — operational/managerial control, NOT APPLICABLE, since 09/29/2021
• CULP, ROLAND — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• CULP, ROLAND — adp of the snf, NOT APPLICABLE, since 04/01/2021
• DASPIT, LAURENCE — adp of the snf, NOT APPLICABLE, since 04/01/2021
• DASPIT, LAURENCE — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• DOHN, WILLIAM — operational/managerial control, NOT APPLICABLE, since 03/27/2019
• DOHN, WILLIAM — adp of the snf, NOT APPLICABLE, since 03/27/2019
• MARTINEZ, DAVID — adp of the snf, NOT APPLICABLE, since 06/03/2024
• MARTINEZ, DAVID — operational/managerial control, NOT APPLICABLE, since 06/03/2024
• MURRELL, EDWARD — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• PICO, ANA — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• PICO, ANA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• PRINCE, DEREK — adp of the snf, NOT APPLICABLE, since 04/01/2021
• PRINCE, DEREK — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• REINARZ, CHRISTIAN — adp of the snf, NOT APPLICABLE, since 04/01/2021
• REINARZ, CHRISTIAN — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• ROLLO, JEFFERY — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• SIMPKINS, BOBBY — operational/managerial control, NOT APPLICABLE, since 08/26/2024
• SIMPKINS, BOBBY — adp of the snf, NOT APPLICABLE, since 08/26/2024
• STANBRIDGE, NORMA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• STRAMECKI, ANTHONY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• VRATIS, KACEY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• WAY, GEORGE — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• CIBC BANK USA — operational/managerial control, NOT APPLICABLE, since 04/01/2021
• CIBC BANK USA — adp of the snf, NOT APPLICABLE, since 04/01/2021
• FORVIS MAZARS LLP — adp of the snf, NOT APPLICABLE, since 10/22/2025
• HMG PARTNERS GP LLC — adp of the snf, NOT APPLICABLE, since 10/22/2025
• HMG PARTNERS II LLC — adp of the snf, NOT APPLICABLE, since 10/22/2025
• HMG SERVICES LLC — adp of the snf, NOT APPLICABLE, since 04/01/2021
• TURNKEY TELEMED PLLC — adp of the snf, NOT APPLICABLE, since 04/01/2021
• ZIONS BANCORPORATION — adp of the snf, NOT APPLICABLE, since 04/01/2021